Medical Doctors

 

MODALITY: MEDICAL DOCTORS

Important!... 
If you use herbs in your practice, please visit our EU herb challenge webpage


Legislative Risks

Current and anticipated regulatory frameworks, built around often inappropriate western, evidence-based, scientific methods of evaluation of both efficacy and risks of natural therapies, present a very serious threat to the continuation and expansion of these therapies. Some of the greatest threats originate from the complex European regulatory model, that also forms the basis for international guidelines and standards in the process of being developed through the UN organ, the Codex Alimentarius Commission

Click on the links below to read about how this EU legislation may affect you: 

Food Supplements Directive
   
ANH summary
    ANH briefing paper FSD / General
    ANH briefing paper FSD / MPLs
    ANH position paper on MPLs (Oct 2007): "MPLs Not Fit for Purpose" 
    ANH article (Jan 2008) "Why should we be concerned about MPLs?"
 
   EC Draft Commission Regulation Annex I and II

During June 2009 the European Food Safety Authority (EFSA) completed its assessment of all the dossiers submitted during the derogation period of the transition measures under Article 4(6) of the EU Food Supplements Directive (2002/46/EC).  The updated version of the draft European Commission Regulation intended to amend the Food Supplements Directive to add the substances which received a favourable opinion from EFSA to those already listed on the Positive List in Annex II of the Directive.  The draft Regulation reflected all the substances for which EFSA gave positive opinions and has took the Positive List to 181 allowed forms of vitamins and minerals. 

This draft Regulation then went forward for consideration by a Scrutiny Committee and then to the European Parliament and Council.  When the Regulation was enacted amendments took place within the statutory instrument for each Member State in order for its implementation into law.  The end of the derogation period was officially 31st December 2009 and products containing forms of vitamins and minerals that were not listed on the amended Annex II became illegal under EU law and prohibited from sale.

Practitioners should be aware that there are some substantial gaps and that some forms of vitamins and minerals commonly used in food supplements were no longer allowed from the beginning of 2010.  For example many of the amino acid chelates and vanadium received negative opinions and are not on Annex II.  We would be grateful if you could take the time to check products that you currently use and let us know of any specific forms of vitamins and minerals that are not listed so that we might include this in our submission of stakeholder comments.

Traditional Herbal Medicinal Products Directive
Important! If you use herbs in your practice, please visit our EU herb challenge webpage
    European Commission summary
    ANH summary
    EC specific provisions
    ANH briefing paper THMPD
    ANH response to EMEA re THMPD challenges
    EC Medicinal products for human use (herbal) - Major developments 

Human Medicinal Products Directive
    European Commission summary
    ANH summary

Nutrition and Health Claims Regulation
    European Commission summary
    ANH summary
    ANH briefing paper NHCR updated Dec 09
    EFSA webpage on NHCR with published opinions

Novel Foods and Novel Food Ingredients Regulation
    European Commission summary
    ANH summary

Foodstuffs Intended for Particular Nutritional Uses (Parnuts) Directive
   
ANH summary

Medical Devices Directive
   
European Commission summary
    ANH summary

  
Scientific Risks

This section under construction 

Media Risks

Negative publicity that may affect your business includes headlines such as:
Daily Mail 16/04/08: ''Can vitamins do you harm?'' Supplements may even shorten your life, claim scientists’’. This came from a review published by Cochrane Collaboration.

Click here to read ANH’s rebuttal.

More of this section under construction
 

Professional Bodies / Useful Organisations/ further information

UK Associations

British Society for Ecological Medicine

British Medical Association

US and International Associations

Australasian College of Nutritional and Environmental Medicine (ACNEM)

Australasian Integrative Medicine Association (AIMA)

Australian Institute for Functional Medicine

Consortium of Academic Health Centers for Integrative Medicine (CAHCIM)

Dansk Selskab for Orthomolekylaer Medicin (DSOM)

Maatschappij ter Bevordering van de Orthomoleculaire Geneeskunde (MBOG)

Orthomolecular Nutrition Laboratory, KYB Club, Japan

South African Society of Integrative Medicine (S.A.S.I.M)

American Academy of Anti-Aging Medicine

American Academy of Environmental Medicine

American Association of Integrative Medicine

American Association of Naturopathic Physicians

American College for Advancement in Medicine

American Holistic Health Association

American Holistic Medical Association

American Holistic Nurses Association

American Institute of Homeopathy

Health World Online

The Holistic Option

International Academy of Oral Medicine and Toxicology

International College of Integrative Medicine

Institute for Functional Medicine

American Academy of Pain Management

The Foundation for the Advancement of Integrative Medicine

International Society for Orthomolecular Medicine

Physicians Association for Anthroposophical Medicine

Australasian College of Advancement in Medicine